Kenaysha Eshonji Gaddy in Raleigh - General Practice

Kenaysha Eshonji Gaddy - NPI 1922116565

Kenaysha Eshonji Gaddy is a General Practice in Raleigh, North Carolina. Kenaysha Eshonji Gaddy practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenaysha Eshonji Gaddy is 1922116565. The last update date is 2007-07-08.

Kenaysha Eshonji Gaddy's current location address is 3212 S Wilmington St, Raleigh, North Carolina. You can contact this provider via phone number 9197733002 and fax number 9197738824. The mailing address for Kenaysha Eshonji Gaddy is 3212 S Wilmington St, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenaysha Eshonji Gaddy
Address 3212 S Wilmington St, Raleigh, North Carolina
Phone Number 9197733002
Fax Number 9197738824
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1922116565
Provider Enumeration Date 2006-08-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3212 S Wilmington St
City Raleigh
State North Carolina (NC)
Post Code 276033538
Phone Number 9197733002
Fax Number 9197738824

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7850
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89-045YU NC --
9026U BLUE CROSS BLUE SHIELD NC

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FAQs about Kenaysha Eshonji Gaddy

What is the unique 10-digit identification code issued to Kenaysha Eshonji Gaddy by the Centers for Medicare & Medicaid Services?

The Kenaysha Eshonji Gaddy has been assigned the NPI (National Provider Identifier) 1922116565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Kenaysha Eshonji Gaddy's facilities are geographically located?

The facilities of Kenaysha Eshonji Gaddy are physically situated at the following location: 3212 S Wilmington St, Raleigh, NC, 276033538.

What is the Kenaysha Eshonji Gaddy's specialty and taxonomy code?

The Kenaysha Eshonji Gaddy's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922116565 to Kenaysha Eshonji Gaddy?

The Centers for Medicare & Medicaid Services originally issued the 1922116565 to Kenaysha Eshonji Gaddy on 2006-08-25.

When was the information related to Kenaysha Eshonji Gaddy most recently updated or refreshed?

The details pertaining to the Kenaysha Eshonji Gaddy, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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